Volume 13 | Issue 10 |

 Abstract

Background & objectives: In order to meet the ambitious aim set by the Government of India as well as the sustainable development goals (SDG) target for eliminating tuberculosis in 2030, it is important for the healthcare providers to follow and support the patients throughout the treatment for its successful completion. For monitoring the tuberculosis treatment compliance, Digital Adherence Technologies (DATs) play a major role. DATs are digital tools that use mobile phone, computer, or sensor technologies to support the capture of detailed, daily, patient-specific adherence information. DATs provide opportunities for a more patient-centred care model and also help healthcare workers while treating tuberculosis (TB) patients when compared to traditional directly observed therapy. Hence, in this study explored the acceptance and barriers to the use of DATs for monitoring compliance with TB treatment and its possible solutions. Methods: A community-based qualitative study was done in two PHCs in Puducherry, India among TB patients who completed treatment, healthcare providers such as tuberculosis health visitors, staff nurses, and respective medical officers. Thirty participants were interviewed using purposive sampling to explore TB treatment outcomes over two months (Oct-Nov 2023). In-depth interviews were conducted with the help of a separate interview guide consisting of broad, open-ended questions with two primary stimulus questions based on the acceptance and barriers for use of DATs for capturing adherence to TB treatment. The possible solutions for the barriers to the use of DATs were also explored by the healthcare providers. Manual content analysis was done for the qualitative data. Interpretation & Conclusions: Identification of barriers and potential solutions in DATs can help in the successful monitoring and completion of tuberculosis treatment which are crucial towards achieving the tuberculosis elimination goal set by the Government of India as well as the SDG target for elimination by 2030.

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 Keywords

TB, Digital Technology, DOTs, VOT

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Creative Commons Attribution 4.0 and The Open Definition

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D.H. Lawrence was deeply concerned with sex. He was abused as 'sex-maniac' by some and hailed as a liberator by others. He opposed all restraints on the sexual life- religious, moral or merely social- in so far as they were based on fear. He strongly believes that the proper norm of the human sexual relationship was the marriage for life. He opposed both the romantic idealization of sex and its opposite pole of sniggering lewdness. It was his conviction that sexual desire would be neither repressed nor sublimated because it would no longer be a base passion. He wished to rid mankind of the shame complex which leads many people to associate sex activity with indecency. He reacted against the misanthropy which seeks to make the body the prisoner of the mind. He deplored the modern dualism - the setting up of barriers between mind and body or between brain and blood. Lawrence was influenced by Freud's psychology and his psychology of man-woman relationship, more specifically his psychology of sexual relations. This paper tries to focus on the relationships between man and woman in different novels written by Lawrence. For the purpose of illustrations Lawrence's Sons and Lovers, Women in Love and Lady Chatterley's Lover may be taken into consideration.

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 Keywords

D.H. Lawrence, Sons and Lovers, Sexual Mysticism, Mother-fixation, Man-Woman Relationship, Separateness-in-Union, Psycho-Dynamics, Sexual Psychology, Freedom in love,

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Creative Commons Attribution 4.0 and The Open Definition

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The management of mandibular fractures has evolved considerably with the advent of rigid internal fixation. This review article provides a comprehensive synthesis of the last decade of literature, comparing the use of titanium and bioresorbable plates. We examine their distinct biomechanical properties, clinical outcomes, patient-reported satisfaction, and economic implications. While titanium remains the established benchmark due to its superior mechanical strength and reliability in complex, high-stress fractures, recent evidence suggests that resorbable plates are a viable, and often superior, alternative for specific indications. The primary advantage of resorbable systems is their ability to provide temporary fixation followed by complete absorption, thereby avoiding the need for a second surgery for hardware removal. The review concludes that the optimal choice of material is not universal but must be tailored to the specific fracture type, patient demographics, and surgeon's expertise, reflecting a shift towards a more personalized approach to care.

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 Keywords

Mandibular fracture, stable bone fixation, titanium plates,bioresorbable polymers

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Analyse the biopic of Shri A. Muthulingam's life to take-up life lessons and values to lead the life with human values in today's world where the fast-paced life has distanced people. Emphasize human values and remind the modern world of their importance in leading the life and language in a global and cultural context.

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 Keywords

Translations, Migration, Genealogy / Lineage, Perspective / Viewpoint, Harmony / Synchrony, Humility / Modesty, Literary garden / domain, Versified prose / poetic form, Dialogue / Conversation, Ancient roots / origins,Foreigner / Outsider, Interest / Intrigue,Companion / Ally

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Creative Commons Attribution 4.0 and The Open Definition

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The history of Indian journalism reflects the nation's journey from colonial subjugation to independence and beyond. Emerging in the late 18th century with early publications such as Hickey's Bengal Gazette, journalism in India became a vehicle for political awakening, social reform, and cultural expression. Newspapers and periodicals not only disseminated news but also shaped public opinion, inspired nationalist movements, and provided a platform for reformers and freedom fighters to voice dissent. Post-independence, Indian journalism expanded into diverse languages, formats, and mediums, balancing its democratic responsibility with the challenges of commercialization, censorship, and technological transformation. This study offers a concise overview of key phases in Indian journalism, highlighting its enduring role in safeguarding democracy, promoting literacy, and reflecting the aspirations of society.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Indian journalism, Press history in India, Colonial newspapers, Vernacular press, Hickey's Bengal Gazette, Raja Ram Mohan Roy and press, Freedom struggle and media

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Creative Commons Attribution 4.0 and The Open Definition

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In the present research work, the aim was to successfully formulate solid dispersion and incorporate it into a fast-dissolving tablet of promethazine theoclate, which were reduce or prevent nausea and vomiting. The main objective of research work was to increase the solubility of poorly water-soluble promethazine theoclate by preparing solid dispersions and subsequently formulating them into fast dissolving tablets (FDTs) to improve patient compliance and convenience. Solid dispersions were prepared by the fusion method and solvent evaporation method using appropriate excipients. Among various formulations, batch B6 was selected as the best formulation because it showed excellent performance with a percentage yield of 95%, drug content of 98%, and dissolution drug release of 94% at 30 minutes. The selected batch B6 was further formulated into fast dissolving tablets, which exhibited a disintegration time of 12 seconds, and a drug release of 99% within 30 minutes. These results confirm that solid dispersion technologywas an effective approach to enhance the solubility and dissolution rate of promethazine theoclate, thereby providing better therapeutic efficiency and patient compliance.

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 Keywords

Solubility, Solid dispersion, Fast dissolving tablet, Promethazine theoclate.

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Creative Commons Attribution 4.0 and The Open Definition

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Background: Abdominal obesity is a key predictor of metabolic disorders and cardiovascular diseases, often overlooked in young adults. Early identification through waist circumference (WC) is a simple, cost-effective screening method to prevent future complications. Objective: To find the prevalence of abdominal obesity among healthy individuals aged 18-30 years using waist circumference in Pune. Methods: A cross-sectional study was conducted on 370 participants aged 18-30 years in Pune. WC was measured using standardized ACSM guidelines. Data was analyzed using descriptive statistics. Results: Among 370 participants, 195 were females and 175 males. WC within normal limits. Only 4% of males and 5% of females were found to have high WC, indicating low abdominal obesity prevalence in this age group. Conclusion: Abdominal obesity was low among participants aged 18-30 in Pune. However, given its strong association with future metabolic complications, periodic screening and lifestyle interventions should be encouraged even among young adults.

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 Keywords

Abdominal obesity, Waist circumference, Young adults, Cross-sectional study, Central obesity

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Creative Commons Attribution 4.0 and The Open Definition

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In India, acceptance of technology is increasingly contingent upon whether interfaces communicate in the languages and visual grammars of their users. This research employs a comparative multiple-case methodology to analyse the impact of vernacular design on the adoption, persistence, and trust in regional-language applications catering to Hindi, Bengali, and Tamil users. The corpus utilizes interface artifact analysis, in-app string corpora, structured survey responses, India-specific app store reviews, and sectoral indicators. Dailyhunt, InShorts, ShareChat, Pratilipi, Koo, Lokal, and PhonePe are some of the main cases. Cross-case pattern matching connects vernacular design elements to perceived ease of use and perceived usefulness in the Technology Acceptance Model, as well as to social influence and facilitating conditions in UTAUT (Davis, 1989; Venkatesh et al., 2003; Yin, 2017; Eisenhardt, 1989). Results indicate that typography optimised for script legibility, localised numerals and calendars, culturally comprehensible iconography, and microcopy composed in colloquial registers diminish cognitive load and minimise code switching, thereby enhancing task success and user attitudes (Sweller, 1988; Norman, 2013). Voice input and mixed-script search reduce input friction for inflected or agglutinative forms, and error messages that follow polite language rules help people recover and build trust. The research enhances the concept of vernacular congruence as a precursor to acceptance, functioning through two mechanisms. Cognitive efficiency occurs when interaction patterns are congruent with users' scripts and literacy practices. Affective resonance occurs when tone, metaphors, and onboarding narratives are in line with how people in the area usually talk to each other. Because most new internet users in India don't speak English, these mechanisms are important for inclusive growth and for setting standards for accessibility policy, content governance, and interface design (Google & KPMG, 2017). The case synthesis elucidates the significance of vernacular design for acceptance and provides practical recommendations for product teams and regulators.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Vernacular design; Regional language apps; Technology acceptance; TAM and UTAUT; Cognitive load; Vernacular congruence.

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Creative Commons Attribution 4.0 and The Open Definition

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Diabetes mellitus (DM) is a chronic metabolic disorder characterized by elevated blood glucose levels resulting from defects in insulin secretion, insulin action, or both. It is broadly classified into Type 1 Diabetes Mellitus (T1DM), an autoimmune destruction of pancreatic ?-cells leading to absolute insulin deficiency, and Type 2 Diabetes Mellitus (T2DM), which involves insulin resistance and relative insulin deficiency. Globally, Diabetes is a leading cause of morbidity and mortality due to its long-term complications, including cardiovascular disease, nephropathy, neuropathy, and retinopathy. The prevalence of T2DM has been rising steadily due to sedentary lifestyles, unhealthy dietary habits, obesity, and aging populations. In Ayurveda, diabetes can be correlated to Prameha. Prameha is a kapha pradhana tridoshajanya vyadhi, which is characterised by excessive and turbid urination. It can be divided into three types based on doshik predominance which is also subdivided into further types they are Kaphaja (10 types), Pittaja (6 types), Vataja (4 types), which is also Avasthanusara bheda of this vyadhi. The management of Prameha is mentioned in Ayurveda as preventive and curative aspects. Ayurveda has recommended an appropriate use of Oushadha Yogas along with proper Pathya (wholesome) Ahara, and Viharas. On the same principles, a patient was treated at OPD basis, this case report analyses the same. A male patient, aged 50 years, diagnosed case of Prameha 15 years back presented with increased frequency of micturition, excessive thirst and generalised weakness. The treatment planned was use of Shamana Oushadhas along with proper Pathya (wholesome) Ahara, and Vihara for 60 days. At the end of the treatment, marked reduction seen on the signs and symptoms like increased urination, generalised weakness and excessive thirst and on blood sugar levels.

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 Keywords

Prameha, Diabetes Mellites, Shamana Oushadha

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Creative Commons Attribution 4.0 and The Open Definition

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The changing environment of performance management is critically examined in this review study, which highlights a significant shift from traditional annual evaluations to dynamic Strategic Performance Management Systems (SPMS). It fully examines the significant influence SPMS has on two important organizational imperatives: increasing worker productivity and guaranteeing strong attainment. Through a comprehensive review of the literature, the study demonstrates how SPMS, which is characterized by its fundamental principles of constant, real-time feedback, careful goal alignment at all organizational levels, committed coaching, and advanced technology integration, creates a workforce that is genuinely transformed. This all-encompassing strategy develops a workforce that is more profoundly engaged, consistently skilled, and ultimately highly accountable--all of which are critical for managing the complexity of modern business. The review meticulously discusses the intrinsic mechanisms through which SPMS demonstrably enhances both individual employee output and overall organizational performance, illustrating how enhanced clarity, ongoing constructive dialogue, and a strong developmental focus drive superior results. Additionally, it addresses the common yet significant implementation challenges organizations frequently encounter when adopting or refining SPMS, offering practical insights and strategic considerations to overcome potential barriers. Concluding, the paper identifies and analyzes the key future trends poised to further reshape the performance management field, forecasting innovations that will continue to optimize human capital and drive sustained organizational success in a rapidly changing world.

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Creative Commons Attribution 4.0 and The Open Definition

 Keywords

Strategic Performance Management Systems, Employee Productivity, Continuous Performance Management, Feedback, HR Technology.

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Creative Commons Attribution 4.0 and The Open Definition